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Laboratory Safety Manual

Reviewed May 2012

Appendix L
Oklahoma State University Laboratory Environmental Audit


Department: Faculty Member: Date:
Building: Room #: Phone #:

Any items marked "No" are in need of attention

Fire Protection (Yes/No)
answer here Easy extinguisher access?     answer here Is the extinguisher's inspection current?
Biological Safety (Yes/No) Electrical (Yes/No)
answer here Absence of live animals?
answer here Are the workers trained?
answer here Is PPE adequate?
answer here Are there BioSafety cabinets?
answer here Absence of overloaded circuits?
answer here Elec. cords in good condition?
answer here Proper grounding?
answer here Absence of extension cords?
Eye Wash Stations (Yes/No) Safety Showers (Yes/No)
answer here Proper location?
answer here Inspected/tested?
answer here Plumbed system?
answer here Labeled?
answer here Proper location?
answer here Tested/sealed?
answer here Workable?
answer here Labeled?
Staff Summary (Yes/No) Hazard Communications (Yes/No)
answer here Safety practices
answer here Hazard Communication
answer here PPE / Spill training
answer here Chemical Hygiene Plan
answer here Lab sign-in?
answer here Safety rules posted?
answer here Emergency procedures?
answer here Containers labeled?
answer here Emergency labels on entrance?
Refrigerators (Yes/No) General Use (Yes/No)
answer here Absence of food storage?
answer here "Explosion-proof?"
answer here Properly installed?
answer here Marked for flammables?
answer here Absence of domestic refrigerator?
answer here Absence of hazardous materials?
answer here Absence of explosives?
answer here Absence of cryogenics?
answer here Absence of laser hazard?
answer here Absence of corrosives?
Housekeeping (Yes/No) Equipment Summary (count)
answer here Aisles clear?
answer here Exits clear?
answer here Haz-Waste collection?
answer here Absence of eat/drink/smoke?
answer here Absence of previous spills?
answer here Fume Hoods
answer here Perc Hoods
answer here Cano Hoods
answer here BioSfty Cabs.
answer here Cylinder Dolly
answer here Spill Kit
answer here Expl. Frig.
answer here Eye Wash
answer here Exits
answer here Sfty Shwr
answer here Flam. Cab.
answer here Spill PPE
General Storage (Yes/No) Ventilation (Yes/No)
answer here Absence of leaking containers?
answer here Glass containers all < 4 liters?
answer here Segregation of chemicals?
answer here Absence of corroded containers?
answer here Containers capped?
answer here Glass shatter-proof?
answer here Adequate ventilation?
answer here Absence of storage in hood?
answer here Fume hoods adequate?
answer here Velocity tested?
answer here Lab negative to other rooms?
answer here Hazardous exhaust labeled?
PPE (Yes/No) Flammables (Yes/No)
answer here Goggles/shields?
answer here Gloves?
answer here Aprons?
answer here Respirators?
answer here Eye protection worn?
answer here Other necessary equipment?
answer here Adequate cabinets?
answer here Absence of excess storage?
answer here Spill plan?
answer here Safety cans?
answer here Bonded / grounded?
answer here Less than 300 gallons?
answer here Absence of storage by exits?
Security (Yes/No) Gas Cylinders (Yes/No)
answer here Intrusion alarms?
answer here Security procedures?
answer here Absence of past vandalism?
answer here Key control?
answer here Absence of custodial service?
answer here Dead bolt?
answer here If 2nd exit, emergency lights?
answer here Cylinders secured?
answer here Contents identified?
answer here Caps on tightly?
answer here If NFPA rating >2, 2nd exit?
answer here Two gauges?
answer here Fewer than 3 cylinderss in use?
answer here Fewer than 9 cylinders in lab?
answer here Shutoffs?

Personal Protective Equipment

Type: Material Used On: Condition:
     
     
     
Cylinders
Number: Contents: Size:
     
     
     

Fume Hoods

Apply check list to each fume hood

Type of work performed in this hood:

  ___________________________

Location of hood in lab:

answer here If located by an exit, is there a 2nd exit?

answer here Is there an Emergency Shut-off within 50 feet?

Type of hood (check)

  • Chemical answer here
  • Perchloric Acid answer here
     
    • Washdown? answer here
    • Removable Baffles? answer here
       
  • Canopy answer here
  • Biological answer here
  • Radioactive answer here

Last inspection date:

Average face velocity (feet per minute): ____________

Location of exhaust fan that serves the hood: ____________

Hood Inspector's name: ____________

Alarms (check)

  • Pressure answer here
  • Face Velocity answer here
  • Other: answer here ____________

Filters (check)

  • HEPA answer here
  • Charcoal answer here
  • Scrubber answer here
  • Other: answer here ____________

Ducts: (Yes/No)

answer here Negative pressure?

answer here Absence of manifold?
        if answer is no, is there a duct in the shaft? _______

answer here Is the outlet 10 feet above the roof?

If Perchloric Acid,

answer here Is there an absence of a manifold?

answer here Is there a straight path to the roof?

Comments

 

Inspector's Name and Signature:


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